[1]霍建臻,高媛媛,党炳文.脑电双频指数监测下不同麻醉深度对腹腔镜下老年消化道肿瘤手术患者的影响[J].陕西医学杂志,2022,51(6):721-724.[doi:DOI:10.3969/j.issn.1000-7377.2022.06.019]
　HUO Jianzhen,GAO Yuanyuan,DANG Bingwen.Effect of different anesthesia depth under BIS monitoring on elderly patients undergoing laparoscopic digestive tract tumor surgery[J].,2022,51(6):721-724.[doi:DOI:10.3969/j.issn.1000-7377.2022.06.019]
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脑电双频指数监测下不同麻醉深度对腹腔镜下老年消化道肿瘤手术患者的影响
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《陕西医学杂志》[ISSN:1000-7377/CN:61-1281/TN]

卷:
51
期数:
2022年6期
页码:
721-724
栏目:
临床研究
出版日期:
2022-06-05

文章信息/Info

Title:
Effect of different anesthesia depth under BIS monitoring on elderly patients undergoing laparoscopic digestive tract tumor surgery
作者:
霍建臻; 高媛媛; 党炳文
(榆林市第二医院麻醉科,陕西 榆林 719053)
Author(s):
HUO Jianzhen; GAO Yuanyuan; DANG Bingwen
(Department of Anesthesiology,Yulin No.2 Hospital,Yulin 719053,China)
关键词:
消化道肿瘤;  脑电双频指数;  麻醉深度;  腹腔镜;  老年患者;  谵妄
Keywords:
Digestive tract tumor;  BIS;  Anesthesia depth;  Laparoscopy;  Elderly patient;  Delirium
分类号:
R 735
DOI:
DOI:10.3969/j.issn.1000-7377.2022.06.019
文献标志码:
A
摘要:
目的:研究在脑电双频指数(BIS)监测下三种不同全凭静脉麻醉深度对腹腔镜下老年消化道肿瘤手术患者的影响。方法:选取腹腔镜下老年消化道肿瘤手术患者84例,随机分为三组。研究A组将BIS数值控制在50～55,研究B组将BIS数值控制在45～49,研究C组将BIS数值控制在40～44。比较三组患者术前(T0)、术中(T1)、术后清醒后(T2)血糖和动脉血二氧化碳分压。比较三组患者苏醒时间、定向力恢复时间。比较三组患者视觉模拟量表(VAS)疼痛评分及术后72 h内谵妄发生率。结果:研究A组T1、T2血糖值高于T0(均P<0.05)。研究C组T1、T2动脉血二氧化碳分压低于T0(均P<0.05)。研究A组苏醒时间、定向力恢复时间明显短于研究B组和研究C组,术后72 h内谵妄发生率低于研究B组和研究C组(均P<0.05)。三组患者术后术后24、48、72 h内VAS疼痛评分比较差异无统计学意义(均P>0.05)。结论:针对腹腔镜下老年患者消化道肿瘤手术,在进行全凭静脉麻醉时应尽量控制BIS数值在50～55,可以有效缩短患者苏醒时间和定向力恢复时间,降低患者谵妄发生率,进而提高老年患者术后恢复质量,但血糖水平略有波动。
Abstract:
Objective:To investigate the effect of different anesthesia depth under BIS monitoring on elderly patients undergoing laparoscopic digestive tract tumor surgery.Methods: A total of 84 elderly patients undergoing laparoscopic surgery for digestive tract tumors were randomly divided into three groups.The BIS values were controlled between 50 and 55 in study group A,between 45 and 49 in study group B and between 40 and 44 in study group C.Blood glucose and arterial partial pressure of carbon dioxide partial pressure were compared in the three groups before operation(T0),during operation(T1)and after postoperative wakefulness(T2).The recovery time of awakening and orientation were compared among the three groups.The VAS pain score and the incidence of delirium within 72 hours after operation were compared among the three groups.Results:The blood glucose values of T1 and T2 in study group A were higher than those of T0(all P<0.05).The arterial partial pressure of carbon dioxide partial pressure in T1 and T2 in study group C was lower than that in T0(all P<0.05).The recovery time of awakening and orientation in study group A was significantly shorter than those in study group B and study group C,and the incidence of delirium within 72 hours after operation was lower than that in study group B and study group C(all P<0.05).There was no significant difference in VAS pain scores between the three groups within 24,48 and 72 hours after operation(all P>0.05).Conclusion:For elderly patients with digestive tract tumor surgery under laparoscopy,the BIS value should be controlled at 50～55 when undergoing total intravenous anesthesia,which can effectively shorten the recovery time of awakening and orientation,reduce the incidence of delirium,and further improve the postoperative recovery quality of elderly patients,but the blood glucose level fluctuates slightly.

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备注/Memo

备注/Memo:
基金项目:陕西省榆林市青年人才托举计划项目(20210305)
更新日期/Last Update: 2022-06-06